EP0003474B1 - Verfahren zur Prothrombin-Bestimmung, dazu verwendetes Reagenz und Verfahren zur Herstellung eines Faktor-Xa-Präparats - Google Patents
Verfahren zur Prothrombin-Bestimmung, dazu verwendetes Reagenz und Verfahren zur Herstellung eines Faktor-Xa-Präparats Download PDFInfo
- Publication number
- EP0003474B1 EP0003474B1 EP78101680A EP78101680A EP0003474B1 EP 0003474 B1 EP0003474 B1 EP 0003474B1 EP 78101680 A EP78101680 A EP 78101680A EP 78101680 A EP78101680 A EP 78101680A EP 0003474 B1 EP0003474 B1 EP 0003474B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- factor
- prothrombin
- pna
- arg
- determination
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
- 108010074860 Factor Xa Proteins 0.000 title claims description 36
- 108010094028 Prothrombin Proteins 0.000 title claims description 27
- 102100027378 Prothrombin Human genes 0.000 title claims description 26
- 238000000034 method Methods 0.000 title claims description 26
- 229940039716 prothrombin Drugs 0.000 title claims description 26
- 239000003153 chemical reaction reagent Substances 0.000 title claims description 13
- 238000002360 preparation method Methods 0.000 title claims description 12
- 238000004519 manufacturing process Methods 0.000 title claims description 5
- 108090000190 Thrombin Proteins 0.000 claims description 22
- 229960004072 thrombin Drugs 0.000 claims description 22
- 210000002381 plasma Anatomy 0.000 claims description 21
- 239000000758 substrate Substances 0.000 claims description 15
- TZCXTZWJZNENPQ-UHFFFAOYSA-L barium sulfate Chemical compound [Ba+2].[O-]S([O-])(=O)=O TZCXTZWJZNENPQ-UHFFFAOYSA-L 0.000 claims description 14
- 230000008569 process Effects 0.000 claims description 11
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 claims description 10
- 102000004169 proteins and genes Human genes 0.000 claims description 10
- 108090000623 proteins and genes Proteins 0.000 claims description 10
- 239000000872 buffer Substances 0.000 claims description 9
- RAXXELZNTBOGNW-UHFFFAOYSA-N imidazole Natural products C1=CNC=N1 RAXXELZNTBOGNW-UHFFFAOYSA-N 0.000 claims description 9
- 101001038021 Lonomia obliqua Lopap Proteins 0.000 claims description 8
- 239000012620 biological material Substances 0.000 claims description 7
- 239000001110 calcium chloride Substances 0.000 claims description 7
- 229910001628 calcium chloride Inorganic materials 0.000 claims description 7
- 239000000243 solution Substances 0.000 claims description 7
- 150000003904 phospholipids Chemical class 0.000 claims description 6
- 238000006243 chemical reaction Methods 0.000 claims description 5
- 239000001509 sodium citrate Substances 0.000 claims description 5
- 108090001015 cancer procoagulant Proteins 0.000 claims description 4
- YDMBNDUHUNWWRP-VJBWXMMDSA-N (2s)-1-[(2r)-2-amino-3-phenylpropanoyl]-n-[(2s)-5-(diaminomethylideneamino)-1-(4-nitroanilino)-1-oxopentan-2-yl]piperidine-2-carboxamide Chemical compound C([C@@H](N)C(=O)N1[C@@H](CCCC1)C(=O)N[C@@H](CCCN=C(N)N)C(=O)NC=1C=CC(=CC=1)[N+]([O-])=O)C1=CC=CC=C1 YDMBNDUHUNWWRP-VJBWXMMDSA-N 0.000 claims description 3
- 241000122860 Echis carinatus Species 0.000 claims description 3
- 239000007983 Tris buffer Substances 0.000 claims description 3
- 239000003463 adsorbent Substances 0.000 claims description 3
- 159000000007 calcium salts Chemical class 0.000 claims description 3
- 238000005259 measurement Methods 0.000 claims description 3
- QQVNCBCBFNWLJX-KCHLEUMXSA-N n-[(2s)-1-[[(2s)-1-[[(2s)-5-(diaminomethylideneamino)-1-(4-nitroanilino)-1-oxopentan-2-yl]amino]-3-methyl-1-oxobutan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]benzamide Chemical compound C([C@@H](C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CCCN=C(N)N)C(=O)NC=1C=CC(=CC=1)[N+]([O-])=O)NC(=O)C=1C=CC=CC=1)C1=CC=CC=C1 QQVNCBCBFNWLJX-KCHLEUMXSA-N 0.000 claims description 3
- 239000002244 precipitate Substances 0.000 claims description 3
- 238000000746 purification Methods 0.000 claims description 3
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 claims description 3
- 239000002435 venom Substances 0.000 claims description 3
- 231100000611 venom Toxicity 0.000 claims description 3
- 210000001048 venom Anatomy 0.000 claims description 3
- 239000002821 viper venom Substances 0.000 claims description 3
- 102000005701 Calcium-Binding Proteins Human genes 0.000 claims description 2
- 108010045403 Calcium-Binding Proteins Proteins 0.000 claims description 2
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 claims description 2
- 241000271032 Daboia russelii Species 0.000 claims description 2
- MUBZPKHOEPUJKR-UHFFFAOYSA-N Oxalic acid Chemical compound OC(=O)C(O)=O MUBZPKHOEPUJKR-UHFFFAOYSA-N 0.000 claims description 2
- 238000001962 electrophoresis Methods 0.000 claims description 2
- 230000002255 enzymatic effect Effects 0.000 claims description 2
- 238000002523 gelfiltration Methods 0.000 claims description 2
- 238000004255 ion exchange chromatography Methods 0.000 claims description 2
- 239000002808 molecular sieve Substances 0.000 claims description 2
- 238000001556 precipitation Methods 0.000 claims description 2
- 239000000047 product Substances 0.000 claims description 2
- URGAHOPLAPQHLN-UHFFFAOYSA-N sodium aluminosilicate Chemical compound [Na+].[Al+3].[O-][Si]([O-])=O.[O-][Si]([O-])=O URGAHOPLAPQHLN-UHFFFAOYSA-N 0.000 claims description 2
- 238000010828 elution Methods 0.000 claims 3
- 108010039286 S 2238 Proteins 0.000 claims 2
- 239000003795 chemical substances by application Substances 0.000 claims 2
- 230000004992 fission Effects 0.000 claims 2
- BFNBIHQBYMNNAN-UHFFFAOYSA-N ammonium sulfate Chemical compound N.N.OS(O)(=O)=O BFNBIHQBYMNNAN-UHFFFAOYSA-N 0.000 claims 1
- 229910052921 ammonium sulfate Inorganic materials 0.000 claims 1
- 239000001166 ammonium sulphate Substances 0.000 claims 1
- 235000011130 ammonium sulphate Nutrition 0.000 claims 1
- 239000012190 activator Substances 0.000 description 7
- 108010063628 acarboxyprothrombin Proteins 0.000 description 6
- 108010014173 Factor X Proteins 0.000 description 5
- 229920005654 Sephadex Polymers 0.000 description 5
- 238000010521 absorption reaction Methods 0.000 description 5
- 230000004913 activation Effects 0.000 description 5
- VJZRBVVLWLEXBB-VROPFNGYSA-N (2s)-n-[(2s)-5-(diaminomethylideneamino)-1-(4-nitroanilino)-1-oxopentan-2-yl]-1-[2-[(4-methylphenyl)sulfonylamino]acetyl]pyrrolidine-2-carboxamide;hydrochloride Chemical compound Cl.C1=CC(C)=CC=C1S(=O)(=O)NCC(=O)N1[C@H](C(=O)N[C@@H](CCCN=C(N)N)C(=O)NC=2C=CC(=CC=2)[N+]([O-])=O)CCC1 VJZRBVVLWLEXBB-VROPFNGYSA-N 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 4
- 108010018472 chromozym TH Proteins 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 239000003480 eluent Substances 0.000 description 4
- 239000000203 mixture Substances 0.000 description 4
- 239000002504 physiological saline solution Substances 0.000 description 4
- TYMLOMAKGOJONV-UHFFFAOYSA-N 4-nitroaniline Chemical compound NC1=CC=C([N+]([O-])=O)C=C1 TYMLOMAKGOJONV-UHFFFAOYSA-N 0.000 description 3
- 108010049003 Fibrinogen Proteins 0.000 description 3
- 102000008946 Fibrinogen Human genes 0.000 description 3
- 238000005119 centrifugation Methods 0.000 description 3
- 229940012952 fibrinogen Drugs 0.000 description 3
- 230000035945 sensitivity Effects 0.000 description 3
- 239000003998 snake venom Substances 0.000 description 3
- 239000006228 supernatant Substances 0.000 description 3
- FTOAOBMCPZCFFF-UHFFFAOYSA-N 5,5-diethylbarbituric acid Chemical compound CCC1(CC)C(=O)NC(=O)NC1=O FTOAOBMCPZCFFF-UHFFFAOYSA-N 0.000 description 2
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 2
- 241000283690 Bos taurus Species 0.000 description 2
- 108010065152 Coagulase Proteins 0.000 description 2
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 2
- 108010074864 Factor XI Proteins 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 2
- 239000012507 Sephadex™ Substances 0.000 description 2
- 239000003146 anticoagulant agent Substances 0.000 description 2
- 210000004556 brain Anatomy 0.000 description 2
- 238000004140 cleaning Methods 0.000 description 2
- 238000003776 cleavage reaction Methods 0.000 description 2
- 238000000502 dialysis Methods 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 239000008363 phosphate buffer Substances 0.000 description 2
- 230000007017 scission Effects 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- 238000001179 sorption measurement Methods 0.000 description 2
- HRXKRNGNAMMEHJ-UHFFFAOYSA-K trisodium citrate Chemical compound [Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O HRXKRNGNAMMEHJ-UHFFFAOYSA-K 0.000 description 2
- 229940038773 trisodium citrate Drugs 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 239000004475 Arginine Substances 0.000 description 1
- BHPQYMZQTOCNFJ-UHFFFAOYSA-N Calcium cation Chemical compound [Ca+2] BHPQYMZQTOCNFJ-UHFFFAOYSA-N 0.000 description 1
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- GUBGYTABKSRVRQ-WFVLMXAXSA-N DEAE-cellulose Chemical compound OC1C(O)C(O)C(CO)O[C@H]1O[C@@H]1C(CO)OC(O)C(O)C1O GUBGYTABKSRVRQ-WFVLMXAXSA-N 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 206010016076 Factor II deficiency Diseases 0.000 description 1
- 208000007646 Hypoprothrombinemias Diseases 0.000 description 1
- 108010038807 Oligopeptides Proteins 0.000 description 1
- 102000015636 Oligopeptides Human genes 0.000 description 1
- 241000272112 Oxyuranus scutellatus Species 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- 108010000499 Thromboplastin Proteins 0.000 description 1
- 102000002262 Thromboplastin Human genes 0.000 description 1
- 108090000631 Trypsin Proteins 0.000 description 1
- 102000004142 Trypsin Human genes 0.000 description 1
- 229930003448 Vitamin K Natural products 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 239000008186 active pharmaceutical agent Substances 0.000 description 1
- WNROFYMDJYEPJX-UHFFFAOYSA-K aluminium hydroxide Chemical compound [OH-].[OH-].[OH-].[Al+3] WNROFYMDJYEPJX-UHFFFAOYSA-K 0.000 description 1
- 238000012870 ammonium sulfate precipitation Methods 0.000 description 1
- 229940127219 anticoagulant drug Drugs 0.000 description 1
- 239000004019 antithrombin Substances 0.000 description 1
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 1
- 229960002319 barbital Drugs 0.000 description 1
- 229940006612 barium citrate Drugs 0.000 description 1
- 229940094800 barium oxalate Drugs 0.000 description 1
- 229940092690 barium sulfate Drugs 0.000 description 1
- 239000003637 basic solution Substances 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 229910001424 calcium ion Inorganic materials 0.000 description 1
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 1
- 239000001913 cellulose Substances 0.000 description 1
- 229920002678 cellulose Polymers 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000004587 chromatography analysis Methods 0.000 description 1
- 239000003593 chromogenic compound Substances 0.000 description 1
- -1 citrate ions Chemical class 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- AGVAZMGAQJOSFJ-WZHZPDAFSA-M cobalt(2+);[(2r,3s,4r,5s)-5-(5,6-dimethylbenzimidazol-1-yl)-4-hydroxy-2-(hydroxymethyl)oxolan-3-yl] [(2r)-1-[3-[(1r,2r,3r,4z,7s,9z,12s,13s,14z,17s,18s,19r)-2,13,18-tris(2-amino-2-oxoethyl)-7,12,17-tris(3-amino-3-oxopropyl)-3,5,8,8,13,15,18,19-octamethyl-2 Chemical compound [Co+2].N#[C-].[N-]([C@@H]1[C@H](CC(N)=O)[C@@]2(C)CCC(=O)NC[C@@H](C)OP(O)(=O)O[C@H]3[C@H]([C@H](O[C@@H]3CO)N3C4=CC(C)=C(C)C=C4N=C3)O)\C2=C(C)/C([C@H](C\2(C)C)CCC(N)=O)=N/C/2=C\C([C@H]([C@@]/2(CC(N)=O)C)CCC(N)=O)=N\C\2=C(C)/C2=N[C@]1(C)[C@@](C)(CC(N)=O)[C@@H]2CCC(N)=O AGVAZMGAQJOSFJ-WZHZPDAFSA-M 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 229940088598 enzyme Drugs 0.000 description 1
- BTCSSZJGUNDROE-UHFFFAOYSA-N gamma-aminobutyric acid Chemical compound NCCCC(O)=O BTCSSZJGUNDROE-UHFFFAOYSA-N 0.000 description 1
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000011534 incubation Methods 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 229940127216 oral anticoagulant drug Drugs 0.000 description 1
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- SHUZOJHMOBOZST-UHFFFAOYSA-N phylloquinone Natural products CC(C)CCCCC(C)CCC(C)CCCC(=CCC1=C(C)C(=O)c2ccccc2C1=O)C SHUZOJHMOBOZST-UHFFFAOYSA-N 0.000 description 1
- 230000036470 plasma concentration Effects 0.000 description 1
- 231100000614 poison Toxicity 0.000 description 1
- 239000002574 poison Substances 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 239000007974 sodium acetate buffer Substances 0.000 description 1
- 239000011550 stock solution Substances 0.000 description 1
- 239000012085 test solution Substances 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 1
- 239000012588 trypsin Substances 0.000 description 1
- 238000005199 ultracentrifugation Methods 0.000 description 1
- 235000019168 vitamin K Nutrition 0.000 description 1
- 239000011712 vitamin K Substances 0.000 description 1
- 150000003721 vitamin K derivatives Chemical class 0.000 description 1
- 229940046010 vitamin k Drugs 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/56—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving blood clotting factors, e.g. involving thrombin, thromboplastin, fibrinogen
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K5/00—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
- C07K5/04—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
- C07K5/08—Tripeptides
- C07K5/0802—Tripeptides with the first amino acid being neutral
- C07K5/0804—Tripeptides with the first amino acid being neutral and aliphatic
- C07K5/0806—Tripeptides with the first amino acid being neutral and aliphatic the side chain containing 0 or 1 carbon atoms, i.e. Gly, Ala
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K5/00—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
- C07K5/04—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
- C07K5/08—Tripeptides
- C07K5/0802—Tripeptides with the first amino acid being neutral
- C07K5/0812—Tripeptides with the first amino acid being neutral and aromatic or cycloaliphatic
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
- C12N9/00—Enzymes; Proenzymes; Compositions thereof; Processes for preparing, activating, inhibiting, separating or purifying enzymes
- C12N9/14—Hydrolases (3)
- C12N9/48—Hydrolases (3) acting on peptide bonds (3.4)
- C12N9/50—Proteinases, e.g. Endopeptidases (3.4.21-3.4.25)
- C12N9/64—Proteinases, e.g. Endopeptidases (3.4.21-3.4.25) derived from animal tissue
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q2337/00—N-linked chromogens for determinations of peptidases and proteinases
- C12Q2337/10—Anilides
- C12Q2337/12—Para-Nitroanilides p-NA
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2333/00—Assays involving biological materials from specific organisms or of a specific nature
- G01N2333/435—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
- G01N2333/46—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans from vertebrates
- G01N2333/4609—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans from vertebrates from reptiles
- G01N2333/4613—Snake venom
- G01N2333/4616—Snake venom from Russell's viper
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2333/00—Assays involving biological materials from specific organisms or of a specific nature
- G01N2333/435—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
- G01N2333/46—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans from vertebrates
- G01N2333/4609—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans from vertebrates from reptiles
- G01N2333/4613—Snake venom
- G01N2333/4633—Snake venom from Echis carinatus; Ecarin
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2333/00—Assays involving biological materials from specific organisms or of a specific nature
- G01N2333/90—Enzymes; Proenzymes
- G01N2333/914—Hydrolases (3)
- G01N2333/948—Hydrolases (3) acting on peptide bonds (3.4)
- G01N2333/95—Proteinases, i.e. endopeptidases (3.4.21-3.4.99)
- G01N2333/964—Proteinases, i.e. endopeptidases (3.4.21-3.4.99) derived from animal tissue
- G01N2333/96425—Proteinases, i.e. endopeptidases (3.4.21-3.4.99) derived from animal tissue from mammals
- G01N2333/96427—Proteinases, i.e. endopeptidases (3.4.21-3.4.99) derived from animal tissue from mammals in general
- G01N2333/9643—Proteinases, i.e. endopeptidases (3.4.21-3.4.99) derived from animal tissue from mammals in general with EC number
- G01N2333/96433—Serine endopeptidases (3.4.21)
- G01N2333/96441—Serine endopeptidases (3.4.21) with definite EC number
- G01N2333/96444—Factor X (3.4.21.6)
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2333/00—Assays involving biological materials from specific organisms or of a specific nature
- G01N2333/90—Enzymes; Proenzymes
- G01N2333/914—Hydrolases (3)
- G01N2333/948—Hydrolases (3) acting on peptide bonds (3.4)
- G01N2333/974—Thrombin
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2405/00—Assays, e.g. immunoassays or enzyme assays, involving lipids
- G01N2405/04—Phospholipids, i.e. phosphoglycerides
Definitions
- the invention relates to a method and a reagent for prothrombin determination in biological material, such as. B. Blood plasma.
- the determination of the prothrombin level is an important clinical parameter for the monitoring of the course of anticoagulant therapy.
- the detection of a factor II deficiency, which is both congenital and acquired, is equally important.
- H. can be the result of a primary underlying disease.
- Staphylocoagulase and snake venom were also used as activators. You activate prothrombin directly. However, it has been shown that these poisons also activate PIVKA prothrombin (PIVKA is a short name for protein induced by vitamin K absence; a synonym is decarboxyprothrombin), which forms during treatment with oral anticoagulants. Staphylocoagulase also converts this so-called PIVKA prothrombin.
- the object of the invention is therefore to create a method and a reagent for the determination of prothrombin in biological material, such as blood plasma, which enable a test with fewer sources of error, increased precision, sensitivity and better reproducibility.
- biological material such as blood plasma
- Such a test should be specific, i. H. only record prothrombin and not also PIVKA prothrombin. All prothrombin should be converted quickly and completely into thrombin without the activator required for this taking part in the color reaction in any form.
- a method for the determination of prothrombin in biological material by conversion into thrombin, enzymatic cleavage of a thrombin substrate with the thrombin and measurement of a cleavage product, characterized in that factor Xa for the biological material to be examined, preferably human factor Xa is added.
- factor Xa for the biological material to be examined, preferably human factor Xa is added.
- the human factor Xa has proven to be the most suitable. But it is also z. B. the use of bovine factor Xa possible.
- the yellow color of the free p-nitroaniline can be measured photometrically at about 390 to 410 nm, the amount of dye released per unit of time being proportional to the enzyme activity.
- Tris and / or imidazole buffers of about pH 8-9, to which hydrochloric acid and / or sodium chloride are optionally added, are preferred as buffers.
- Phospholipids and calcium chloride are used as co-reagents for activating the prothrombin.
- the substrate is added after the prothrombin has been converted completely to thrombin in the test solution after adding factor Xa.
- the factor Xa according to the invention is easily accessible through a simple extraction process, which is also the subject of the invention.
- This process is characterized in that plasma, preferably human plasma, is treated with a prothombin activator, a protein adsorbent is added after centrifugation, the precipitate is eluted with protein eluent and the eluate is treated with a factor X activator and optionally a soluble calcium salt.
- Echis carinatus venom as a prothrombin activator, but snake venoms such as Taipan snake venom (Oxyuranus scutellatus) and trypsin are also suitable.
- the clot obtained after the treatment with the prothrombin activator, which is centrifuged off, consists partly of fibrinogen, antithrombin and thrombin.
- Barium sulfate, citrate and oxalate are preferred as protein adsorbent, but aluminum hydroxide, DEAE-Sephadex and QAE-Sephadex are also suitable; an aqueous trisodium citrate solution, phosphate buffer or sodium chloride can be used as protein eluents Solution can be used.
- Russel's viper venom is particularly suitable as a factor X activator.
- Calcium chloride is preferred as the soluble calcium salt.
- Additional steps can be added to achieve a highly purified factor Xa.
- These further purification steps can consist of gel filtration with a molecular sieve that differentiates the range from 50,000-100,000, e.g. B. Sephadex @ G 100, Biogel @ P 100, which can be eluted with sodium acetate buffer (0.4 m, pH 7).
- Ammonium sulfate precipitation e.g. 45 to 55% solution, pH 6-8), ion exchange chromatography with DEAE-Sephadex @ A 50, DEAE cellulose or QAE-Sephadex @ / cellulose, with Na / as a buffer K-phosphate (e.g.
- the highly purified factor Xa can be used in the test, in the form of a solution, e.g. B. in veronal or Michaelis buffer, in physiological saline and in the test buffer. However, this cleaning step can be dispensed with for use in the test according to the invention and the factor Xa preparation enriched as described above can be used.
- DE-OS 26 54 189 describes a method for producing a factor Xa preparation.
- the method according to the invention cannot be derived from this without inventive step.
- the process described there gives no indication of removal of the prothrombin (factor 11) at a specific point in the production process; this method leads to a preparation which, in addition to factor X, also contains factor II.
- the surprising improvement in the process according to the invention is that the factor Ila (thrombin) formed before the barium sulfate precipitation is not bound to the barium sulfate, that is to say it is already separated from the factor X here, while the opposite is the case with the factor 11.
- the process according to the invention thus has the advantage over the process of DE-OS 26 54 189 that a largely pure factor X preparation is obtained in one step (barium sulfate adsorption).
- the invention furthermore relates to a reagent for determining prothrombin, comprising a thrombin substrate and a prothrombin activator, characterized in that the prothrombin activator is factor Xa, preferably the human factor Xa.
- the method and reagent according to the invention enable rapid and reliable determination of the prothrombin.
- the method is characterized by its specificity because the factor Xa only detects normal prothrombin and not also PIVKA prothrombin.
- the activators used up to now do not have a specific effect.
- the addition of a standardized factor Xa preparation ensures that a sufficient amount of the activator is always present. It was very surprising that after the addition of all prothrombin, factor Xa quickly and completely converted to thrombin without, which is very important, itself participating in the color reaction in any way. It is known that the factor Xa z. B. on synthetic peptide-p-nitroanilide derivatives, such as. B. Chromozym TH acts directly cleaving.
- the human factor Xa can be used more advantageously than e.g. B. Bovine factor Xa. It has proven to be particularly advantageous to add factor Xa in a defined amount; the activation of factor Xa present in the blood plasma would lead to unsatisfactory results. Furthermore, it was surprising that an activator can be provided by a manufacturing process as simple as the process according to the invention, which guarantees the feasibility, in particular the technical usability, and could be sufficiently profitable with regard to the origin, namely the human plasma.
- Plasma Blood from healthy donors with an average age of 30 years, half of whom are women and men, is used to obtain the normal plasma. It contains 25 mM sodium citrate. After a first centrifugation for 15 min, 1500 g and room temperature, the plasma is subjected to a second one at 4 ° C for 30 minutes at 20,000 g. 1 ml / 30 m aqueous calcium chloride solution and 2 drops Echis carinatus venom (Sigma V 8250; basic solutions each 1 mg / ml water) are added per 4 ml normal plasma and left for about 2 hours in a water bath (37 ° C).
- Echis carinatus venom Sigma V 8250; basic solutions each 1 mg / ml water
- the resulting clot is centrifuged off and 150 mg of barium sulfate are added to the supernatant from 4 ml of normal plasma. The mixture is stirred at room temperature for 30 minutes and centrifuged. The supernatant is discarded and the precipitate is washed four times with about 4 ml of physiological saline. The centrifugate is eluted with 2 ml of a 0.2 M trisodium citrate solution (pH 7.0). After centrifugation again, the supernatant is dialyzed against physiological saline at 4 ° C. The dialysate is stored in small protions of approximately 250 ⁇ l at -20 ° C.
- Test mixtures are produced which contain:
- the phospholipids used are an acetone / ether extraction from a human brain according to W. N. Bell and H. G. Alton, Nature (London) 174, page 880 (1954).
- the components of the test mixture are pipetted directly into the microcuvette with a layer thickness of 1 cm of a "Aminco DW 2" spectrophotometer at 37 ° C.
- the incubation time for factor Xa is 120 seconds.
- 50 ⁇ l (1.5 mM / I) substrate (Chromozym TH, Boehringer Mannheim GmbH, or substrate 2238, Kabi) are added, the final concentration being 187.5 ⁇ M / l (Chromozym TH) or 148 ⁇ M / l ( S 2238).
- the measurement begins immediately.
- the absorption per time is recorded directly with a pointer running speed in minutes per cm in the horizontal and an absorption in mm per mm full scale in the vertical.
- Various absorption sensitivities and running speeds can be selected.
- the absorption change per minute is therefore calculated using the following formula: Example for measuring distance 10 cm, vertical 43 mm full scale 252 mm, absorption sensitivity 0.5 and running speed 0.033:
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- Analytical Chemistry (AREA)
- Measuring Or Testing Involving Enzymes Or Micro-Organisms (AREA)
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Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19772757992 DE2757992A1 (de) | 1977-12-24 | 1977-12-24 | Verfahren zur prothrombin-bestimmung |
DE2757992 | 1977-12-24 |
Publications (2)
Publication Number | Publication Date |
---|---|
EP0003474A1 EP0003474A1 (de) | 1979-08-22 |
EP0003474B1 true EP0003474B1 (de) | 1981-11-25 |
Family
ID=6027271
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP78101680A Expired EP0003474B1 (de) | 1977-12-24 | 1978-12-14 | Verfahren zur Prothrombin-Bestimmung, dazu verwendetes Reagenz und Verfahren zur Herstellung eines Faktor-Xa-Präparats |
Country Status (9)
Country | Link |
---|---|
US (1) | US4334018A (no) |
EP (1) | EP0003474B1 (no) |
JP (2) | JPS588840B2 (no) |
AT (1) | AT360661B (no) |
CA (1) | CA1127942A (no) |
DE (2) | DE2757992A1 (no) |
DK (1) | DK150719C (no) |
FI (1) | FI64466C (no) |
NO (2) | NO151792C (no) |
Families Citing this family (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4289498A (en) * | 1979-01-08 | 1981-09-15 | Ortho Diagnostics, Inc. | One-stage prothrombin assay and compositions useful therein |
US4463090A (en) * | 1981-09-30 | 1984-07-31 | Harris Curtis C | Cascade amplification enzyme immunoassay |
DE3413311A1 (de) * | 1984-04-09 | 1985-10-17 | Behringwerke Ag, 3550 Marburg | Reagenz zur bestimmung der thromboplastinzeit |
GB2178533B (en) * | 1985-07-22 | 1989-07-19 | Asahi Chemical Ind | Analytical method of enzyme precursors and device therefor |
DE3607559A1 (de) * | 1986-03-07 | 1987-09-10 | Boehringer Mannheim Gmbh | Verfahren zur photometrischen bestimmung der protein c- und/oder protein s-aktivitaet |
US5190864A (en) * | 1986-04-15 | 1993-03-02 | Northeastern University | Enzyme amplification by using free enzyme to release enzyme from an immobilized enzyme material |
US4937188A (en) * | 1986-04-15 | 1990-06-26 | Northeastern University | Enzyme activity amplification method for increasing assay sensitivity |
JPS62278717A (ja) * | 1986-05-27 | 1987-12-03 | Nec Kansai Ltd | 直熱型陰極構体 |
US5312745A (en) * | 1987-06-18 | 1994-05-17 | Chromogenix Ab | Determination of components active in proteolysis |
DE3727610A1 (de) | 1987-08-19 | 1989-03-02 | Behringwerke Ag | Synthetische peptide, gegen diese gerichtete antikoerper und deren verwendung |
US6541275B1 (en) | 1988-02-03 | 2003-04-01 | Dade Behring Inc. | Immunoassay for F1.2 prothrombin fragment |
DE4203980A1 (de) * | 1992-02-11 | 1993-08-12 | Max Planck Gesellschaft | Verfahren zur bestimmung von hirudin und synthetischen thrombininhibitoren |
AT396937B (de) * | 1992-04-06 | 1993-12-27 | Immuno Ag | Verfahren zur aktivierung von blutgerinnungsfaktoren |
US5780255A (en) * | 1995-06-09 | 1998-07-14 | Instrumentation Laboratory, S.P.A. | Protein C pathway screening test |
DE102010025972A1 (de) * | 2010-07-02 | 2012-01-05 | Papst Licensing Gmbh & Co. Kg | Verfahren zur Bestimmung von Proteasen und ihren Proformen |
AU2015381628B2 (en) * | 2015-02-06 | 2021-07-15 | Guangzhou Bioseal Biotech Co., Ltd. | Method for preparation of thrombin |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3486981A (en) * | 1965-03-15 | 1969-12-30 | Roy E Speck | Substances relating to testing of blood-coagulation |
SE380257B (sv) * | 1972-05-02 | 1975-11-03 | Bofors Ab | Nya diagnostiskt verksamma substrat med hog specificitet till trombin och andra proteolytiska enzymer av typen peptidyl-peptid-hydrolaser |
ES431736A1 (es) * | 1973-11-13 | 1977-05-16 | Behringwerke Ag | Procedimiento para la preparacion de un agente para diagnos-tico para el proposito de efectuar el control de la capaci- dad de coagulacion de la sangre. |
CH622286A5 (no) * | 1975-06-23 | 1981-03-31 | Pentapharm Ag | |
US4061625A (en) * | 1975-07-11 | 1977-12-06 | Ab Kabi | Novel chromogenic thrombin substrates |
SE407405B (sv) * | 1975-07-11 | 1979-03-26 | Kabi Ab | Nya kromogena trombinsubstrat |
SE419871B (sv) * | 1975-12-01 | 1981-08-31 | Pharmacia Ab | Sett att bestemma aktiviteten hos faktor xa-inhibitor i blod |
-
1977
- 1977-12-24 DE DE19772757992 patent/DE2757992A1/de not_active Withdrawn
-
1978
- 1978-12-14 DE DE7878101680T patent/DE2861386D1/de not_active Expired
- 1978-12-14 EP EP78101680A patent/EP0003474B1/de not_active Expired
- 1978-12-18 FI FI783880A patent/FI64466C/fi not_active IP Right Cessation
- 1978-12-20 DK DK571978A patent/DK150719C/da not_active IP Right Cessation
- 1978-12-21 JP JP53156954A patent/JPS588840B2/ja not_active Expired
- 1978-12-21 NO NO784318A patent/NO151792C/no unknown
- 1978-12-22 AT AT924378A patent/AT360661B/de not_active IP Right Cessation
- 1978-12-22 CA CA318,481A patent/CA1127942A/en not_active Expired
-
1980
- 1980-12-15 US US06/216,696 patent/US4334018A/en not_active Expired - Lifetime
-
1981
- 1981-05-22 JP JP56076831A patent/JPS5812257B2/ja not_active Expired
-
1983
- 1983-10-25 NO NO83833884A patent/NO154803C/no unknown
Also Published As
Publication number | Publication date |
---|---|
JPS5718626A (en) | 1982-01-30 |
CA1127942A (en) | 1982-07-20 |
DK150719B (da) | 1987-06-01 |
EP0003474A1 (de) | 1979-08-22 |
JPS588840B2 (ja) | 1983-02-17 |
DE2757992A1 (de) | 1979-06-28 |
FI64466C (fi) | 1983-11-10 |
DE2861386D1 (en) | 1982-01-28 |
FI783880A (fi) | 1979-06-25 |
JPS5812257B2 (ja) | 1983-03-07 |
NO833884L (no) | 1979-06-26 |
JPS5492393A (en) | 1979-07-21 |
US4334018A (en) | 1982-06-08 |
NO154803C (no) | 1986-12-29 |
NO784318L (no) | 1979-06-26 |
NO154803B (no) | 1986-09-15 |
FI64466B (fi) | 1983-07-29 |
AT360661B (de) | 1981-01-26 |
DK571978A (da) | 1979-06-25 |
DK150719C (da) | 1988-06-06 |
ATA924378A (de) | 1980-06-15 |
NO151792B (no) | 1985-02-25 |
NO151792C (no) | 1985-06-05 |
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